急性小关节绞锁所致斜颈患者椎旁干针疗法的即时效应
Immediate Effects of Paraspinal Dry Needling in Patients with Acute Facet Joint Lock Induced Wry Neck.
作者信息
Shanmugam Sukumar, Mathias Lawrence
机构信息
Assistant Professor, Department of Neuro-Physiotherapy, Nitte Institute of Physiotherapy, Nitte University, Mangalore, Karnataka, India.
Professor and Head, Department of Orthopaedics, K S Hegde Medical Academy, Nitte University, Mangalore, Karnataka, India.
出版信息
J Clin Diagn Res. 2017 Jun;11(6):YM01-YM03. doi: 10.7860/JCDR/2017/26407.10079. Epub 2017 Jun 1.
INTRODUCTION
Acute facet joint lock induced wry neck (AFJL-WN) is common among adult population and it is primarily managed by medications and physiotherapy. However, the immediate recovery from pain and movements restriction caused by AFJL-WN is not documented in favour of existing interventions.
AIM
To evaluate the immediate effects of paraspinal dry needling (PSDN) on acute neck pain and movement deficit in patients with AFJL-WN.
MATERIALS AND METHODS
A total of 21 patients with AFJL-WN were treated with single session of PSDN for 12-15 minutes. The Visual Analog Scale (0-100mm) and Hand Held Goniometer were used to assess the immediate, 24 hours and 1 week follow-up neck pain and cervical spine's range of motion respectively. The mean and standard deviation was used to make inferences.
RESULTS
Immediately after PSDN the pain score was reduced and cervical spine range of motion have improved. The 24 hours and 1 week follow-up pain and range of motion scores have shown the sustained improvement without deteriorations.
CONCLUSION
PSDN is effective method to achieve pain free neck movements in patients with AFJL-WN.
引言
急性小关节绞锁致斜颈（AFJL-WN）在成年人群中较为常见，主要通过药物和物理治疗进行处理。然而，现有干预措施对AFJL-WN所致疼痛和活动受限的即时恢复效果尚无文献记载。
目的
评估椎旁干针疗法（PSDN）对AFJL-WN患者急性颈部疼痛和活动障碍的即时效果。
材料与方法
共21例AFJL-WN患者接受单次PSDN治疗12至15分钟。分别使用视觉模拟量表（0 - 100mm）和手持量角器评估即时、24小时及1周随访时的颈部疼痛及颈椎活动范围。采用均值和标准差进行推断。
结果
PSDN治疗后即刻疼痛评分降低，颈椎活动范围改善。24小时及1周随访时的疼痛和活动范围评分持续改善，未见恶化。
结论
PSDN是使AFJL-WN患者颈部无痛活动的有效方法。
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